Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $54.49 / $116.25	Facility		$13.33	$54.49	$116.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $14.95 / $17.63	Professional		$10.58	$14.95	$17.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.58 / $12.24	Professional		$8.46	$10.58	$12.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $58.36 / $104.55	Facility		$22.04	$58.36	$104.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $9.34 / $15.69	Professional		$5.00	$9.34	$15.69
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $26.45 / $149.41	Facility		$16.75	$26.45	$149.41
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $17.63 / $26.45	Professional		$13.22	$17.63	$26.45
Christus Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $17.28 / $17.63	Facility		$17.28	$17.28	$17.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $38.72 / $88.57	Facility		$12.32	$38.72	$88.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $12.82 / $29.54	Professional		$9.34	$12.82	$29.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $84.00 / $100.00	Facility		$71.00	$84.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $17.63 / $22.92	Facility		$14.10	$17.63	$22.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $17.63 / $22.98	Professional		$16.80	$17.63	$22.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $17.63 / $43.95	Facility		$14.10	$17.63	$43.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $13.56 / $25.26	Professional		$9.34	$13.56	$25.26
United Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $17.63 / $21.16	Facility		$10.35	$17.63	$21.16
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.09 / $14.40	Professional		$7.40	$10.09	$14.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $8.71 / $17.63	Professional		$6.88	$8.71	$17.63